Active NPI
Keeli Tritz Gailes, PT, DPT, ATC
- Physical Therapist
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18406
- Practice address
- 1175 Revolution Mill Dr Ste 34L
Greensboro, NC 27405-5168 - Phone
- (336) 707-9951
- NPI assigned
- Jul 12, 2022
- Last updated
- Jul 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18406 | NC | Primary |
| Athletic Trainer | 2255A2300X | NU |
Addresses
Primary practice location
1175 Revolution Mill Dr Ste 34L
Greensboro, NC 27405-5168
Mailing address
4501 Foreys CT
Graham, NC 27253-8179
Phone (850) 541-2926
Other practice location 1
1647 Saxapahaw Bethlehem Ch Rd
Saxapahaw, NC 27340-9801
Phone (919) 886-7866
Other practice location 2
100 Timberhill Pl Unit 115
Chapel Hill, NC 27514-1962
Phone (919) 585-4588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Timberhill PL
Unit 115
Chapel Hill, NC 27514-1962
Phone (919) 585-4588
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18406 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ember Continuum LLC | Physical Therapist | Current | Accepting new patients |
Locations
100 Timberhill Pl
Unit 115
Chapel Hill, NC 27514
Phone (919) 585-4588
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba FYZICAL North Chapel Hill
- Physical Therapy Clinic/Center
- Chapel Hill, NC
- NPI 1114796208
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1114651528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 FOREYS CT",
"city": "GRAHAM",
"state": "NC",
"postal_code": "272538179",
"telephone_number": "850-541-2926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 REVOLUTION MILL DR STE 34L",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274055168",
"telephone_number": "336-707-9951"
}
],
"practiceLocations": [
{
"address_1": "1647 Saxapahaw Bethlehem Ch Rd",
"address_purpose": "LOCATION",
"city": "Saxapahaw",
"state": "NC",
"postal_code": "273409801",
"country_code": "US",
"telephone_number": "919-886-7866",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Timberhill Pl Unit 115",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275141962",
"country_code": "US",
"telephone_number": "919-585-4588",
"fax_number": "919-589-4164",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAILES",
"first_name": "KEELI",
"middle_name": "TRITZ",
"name_prefix": "Dr.",
"credential": "PT, DPT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-12",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "18406",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.